Buffagni Valentina, Fidanzio Francesca, Dell'Apa Diletta, Tummolo Fabio, Bernardini Marco, Bianchi Ezio
Department of Veterinary Medical Sciences, University of Parma, Parma, Italy.
Anicura Tibaldi Veterinary Clinic, Milano, Italy.
Front Vet Sci. 2025 Jun 13;12:1613131. doi: 10.3389/fvets.2025.1613131. eCollection 2025.
A Maltese dog was presented with a stiff gait, secondary to muscle hypertonicity, affecting the axial and proximal appendicular muscles, which had progressively worsened over the last 4 years, associated with episodes of muscle spasms. Neuroanatomical localization was upper motor neuron (UMN) or generalized neuromuscular system. Cerebrospinal fluid (CSF) analysis was normal. Magnetic resonance imaging (MRI) of the brain and cervical spinal cord was performed and showed hypoplasia of the dorsal part of the left hippocampus, unchanged compared to the MRI performed 4 years earlier, and mild C6-C7 disk extrusion, with no evidence of compression of the spinal cord. Conscious electromyography showed continuous motor unit action potentials (MUAPs) in agonist and antagonist muscles. Indirect immunofluorescence (IFT) detected the presence of antibodies against glutamic acid decarboxylase (GAD). These findings were consistent with a human condition called "Stiff Person Syndrome" (SPS). A condition similar to SPS has only been described once before in a Beagle dog ("Stiff Dog Syndrome"). A therapeutic protocol based on human guidelines for SPS was initiated with a partial improvement. "Stiff Dog Syndrome" (SDS) is a possible cause of muscle hypertonicity and spasms in dogs.
一只马尔济斯犬因肌肉张力亢进出现步态僵硬,累及轴性和近端附肢肌肉,在过去4年中逐渐加重,并伴有肌肉痉挛发作。神经解剖定位为上运动神经元(UMN)或广义神经肌肉系统。脑脊液(CSF)分析正常。对脑部和颈脊髓进行了磁共振成像(MRI)检查,结果显示左侧海马背侧发育不全,与4年前的MRI检查结果相比无变化,以及轻度C6 - C7椎间盘突出,无脊髓受压迹象。清醒状态下的肌电图显示,主动肌和拮抗肌中存在持续的运动单位动作电位(MUAPs)。间接免疫荧光法(IFT)检测到抗谷氨酸脱羧酶(GAD)抗体的存在。这些发现与一种名为“僵人综合征”(SPS)的人类疾病相符。一种与SPS相似的病症此前仅在一只比格犬中被描述过一次(“僵犬综合征”)。基于人类SPS指南启动了治疗方案,病情有部分改善。“僵犬综合征”(SDS)是犬类肌肉张力亢进和痉挛的一个可能原因。